Surgery NCLEX Style Questions

Surgery NCLEX Style Questions 5.0 (1 review) Students also studied Terms in this set (20) Science MedicineNursing Save

NCLEX questions: Perioperative Nur...

12 terms christal9Preview Fluid and Electrolytes NCLEX Quest...33 terms Alex_Hassiepen Preview MED/SURG Final NCLEX questions 116 terms m3clevelandPreview 75 Free 75 terms car A postoperative patient is complaining of incisional pain.An order has been given for morphine every 4 to 6 hours as needed (PRN). The first assessment by the nurse

should be to:

Determine when the patient last received pain medication.Because malignant hyperthermia is a potential

postoperative complication, the nurse should ask:

"Has anyone in your family ever had problems with general anesthesia?" A patient who had a hysterectomy yesterday has not been allowed food or drink by mouth (NPO). The physician has now ordered the patient's diet to be clear liquids. Before administering the diet, the nurse should

check for:

Bowel sounds The technique the nurse should use to change a

postoperative dressing is:

Aseptic technique The nurse is caring for the postoperative patient who has had spinal anesthesia. The nurse would place highest priority on reporting which of these assessments?Complaints of a headache To best prevent deep vein thrombosis (DVT) in the postoperative patient, the nurse plans to ensure that the

patient:

Ambulates frequently.

During the nurse's preoperative assessment, the nurse notices that the patient is extremely anxious. The patient's blood pressure is 142/92 mm Hg, the heart rate is 104 beats per minute, and respirations are 32. The nurse

should:

Notify the anesthesiologist or surgeon.The nurse is performing a postoperative assessment on a patient who has just returned from a hernia repair. The patient's blood pressure is 90/60 mm Hg, and the apical

pulse is 108. The nurse's first action would be to:

Check the dressing for bleeding.The postoperative patient who has no previous medical conditions is difficult to arouse when transferred to the surgical unit from the postanesthesia care unit. The nurse monitors the pulse oximeter and gets a reading of 85%.

The nurse's next action should be to:

Arouse the patient, have him cough, and encourage deep breathing The nurse has completed giving discharge instructions to the patient after a hernia repair. The nurse would determine that the patient understands the instructions if

he verbalizes that he will:

Report fever, redness, swelling, or increased pain at the incision site.The nurse should include the proper use of an incentive spirometer in teaching a preoperative patient.Postoperative monitoring of this patient would reveal that the incentive spirometry has been effective if the patient

has:

Clear breath sounds The suprapubic area of a postoperative patient is distended. The patient states that he has not voided since surgery approximately 9 hours ago. The nurse's first action

would be to:

Seat the patient on the side of the bed to try to void.The nurse modifies postoperative care for a patient who has had cataract surgery from that given most general

surgical patients as follows:

Omit instructions relative to coughing.When obtaining the patient's signature on the surgical consent form, the patient seems confused about the procedure to be performed. The appropriate response

by the nurse is to:

Ask the patient what the physician told him, and then call the physician, if necessary.The nurse is doing an assessment of a patient who has returned from a cardiac catheterization and had conscious sedation. The nurse should report which of the following findings?Difficulty arousing the patient The nurse understands that palliative surgery is intended

to:

Relieve symptoms or improve function without correcting the basic problem.During the preoperative assessment, the nurse must ask

the patient for information about:

Allergies, medications, and past medical conditions

The member of the surgical team who administers anesthetics and monitors the patient's status throughout

the procedure is the:

Anesthesiologist A nurse is assisting in the transfer of a postoperative patient from the postanesthesia care unit to the surgical nursing unit. To ensure the safety of the patient, the nurse

would:

Put the side rails up after moving the patient from the stretcher to the bed.A patient who has just undergone a colon resection complains to the nurse that he felt something pop under his dressing while trying to get out of bed. The nurse removes the dressing and finds that dehiscence of the

wound has occurred. The nurse's first action should be to:

Cover the wound with sterile dressings saturated with normal saline.